Deficiency Records for Addolorata Villa
Updated as of April 01, 2019
This is not the most recent data for Addolorata Villa. For the most recent information, click here.
A list of the most recent deficiencies for Addolorata Villa. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-19 | 2018-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-19 | 2018-03-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-01-19 | 2018-03-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-01-19 | 2018-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-19 | 2018-03-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-01-19 | 2018-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-02-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-01-30 | 2018-02-01 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-01-30 | 2018-01-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-14 | 2017-04-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-02-14 | 2017-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-07 | 2017-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2017-03-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-09 | 2017-03-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-09 | 2017-03-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-09 | 2017-03-24 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-02-09 | 2017-03-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-02-14 | 2017-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-14 | 2017-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-02-14 | 2017-02-24 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Approved construction type or materials. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-17 | 2016-01-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-17 | 2016-01-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-17 | 2016-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-17 | 2016-01-31 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-14 | 2015-12-18 | N |
